Naranjo Eduardo N, Pillay Indershini, Squire Sandra J, Black Agnes T, Gill Manu
Providence Health Care, University of British Columbia, Vancouver, British Columbia, Canada.
Vancouver General Hospital and UBC Hospital, Vancouver, British Columbia, Canada.
J Multidiscip Healthc. 2024 Oct 29;17:4963-4971. doi: 10.2147/JMDH.S437850. eCollection 2024.
The Independence Model (TIM) is a new rehabilitative model of care implemented in an acute care hospital to address patients' functional decline and a high vacancy rate for rehabilitation therapists.
TIM was developed by a team with expertise in evidence, scope of practice and roles, population care needs, and current state related to rehabilitation. TIM utilizes rehabilitation assistants, supervised by physical therapists, occupational therapists or speech-language pathologists, to assist patients in functional areas such as ambulation, activities of daily living (ADLs), cognition and communication. The planning team ensured patient engagement, utilized change management principles, and evaluated the effectiveness of care.
Preliminary evaluation of TIM was positive, with staff reporting improved caseload quality and patients feeling more prepared for discharge.
This study suggests innovative models of care, such as TIM, can help address the functional needs of patients while navigating the global health human resource crisis.
独立模式（TIM）是在一家急症护理医院实施的一种新的康复护理模式，旨在解决患者的功能衰退问题以及康复治疗师的高空缺率。
TIM由一个在循证、执业范围与角色、人群护理需求以及与康复相关的现状方面具有专业知识的团队开发。TIM利用在物理治疗师、职业治疗师或言语语言病理学家监督下的康复助理，协助患者进行诸如行走、日常生活活动（ADL）、认知和沟通等功能领域的活动。规划团队确保患者参与，运用变革管理原则，并评估护理效果。
对TIM的初步评估是积极的，工作人员报告病例量质量有所提高，患者感觉出院准备更充分。
本研究表明，诸如TIM这样的创新护理模式有助于在应对全球卫生人力资源危机的同时满足患者的功能需求。
